-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IS8EogVm8khZ+l7VoGkgSL1Wu5Cb+U4s4aiWHP0gubQQWUGKULURPfAE7JfjBQqc DTr+g2M2thCJni5ABIOkrg== 0000105418-04-000048.txt : 20041104 0000105418-04-000048.hdr.sgml : 20041104 20041104151207 ACCESSION NUMBER: 0000105418-04-000048 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20041104 DATE AS OF CHANGE: 20041104 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WASSERMAN ELLEN W P CENTRAL INDEX KEY: 0000920914 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 1000 SOUTH SECOND STREET STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801-0471 BUSINESS PHONE: 7172864571 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WEIS MARKETS INC CENTRAL INDEX KEY: 0000105418 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-GROCERY STORES [5411] IRS NUMBER: 240755415 STATE OF INCORPORATION: PA FISCAL YEAR END: 1226 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-13039 FILM NUMBER: 041119460 BUSINESS ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 BUSINESS PHONE: 570-286-4571 MAIL ADDRESS: STREET 1: 1000 S SECOND ST STREET 2: PO BOX 471 CITY: SUNBURY STATE: PA ZIP: 17801 SC 13D 1 ewass13d110204.htm ELLEN W.P. WASSERMAN 13-D AMENDMENT #1 Schedule 13D Ellen W.P. Wasserman

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

SCHEDULE 13D
(Amendment No. 1)

Under the Securities Exchange Act of 1934

Weis Markets, Inc.
(Name of Issuer)

Common Stock, no par value
(Title of Class of Securities)

    948849-104  
(CUSIP Number)

Ellen W. P. Wasserman
1000 South Second Street
P.O. Box 471
Sunbury, Pennsylvania 17801-0471
                                          (570) 286-4571                                     
(Name, Address and Telephone Number of Person Authorized to
Receive Notices and Communications)

                                November 2, 2004                            
(Date of Event which Requires Filing of this Statement)

If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the ubject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box. o

The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 (the "Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act.


 

CUSIP NO. 948849-104


          1)     Names of Reporting Persons, I.R.S. Identification Nos. of Above Persons (entities only)
                    Ellen W. P. Wasserman

          2)     Check the Appropriate Box if a Member of a Group (See Instructions)
                  (a)      X     
                  (b)              

          3)     SEC Use Only                                                                                                                              

          4)     Source of Funds (See Instructions)      OO     

          5)     Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)            

          6)     Citizenship or Place of Organization      U.S.A.     
Number of
Shares Bene-
ficially
Owned by
Each Report-
ing Person
With
(7) Sole Voting Power   1,746,424
(8) Shared Voting Power                 0
(9) Sole Dispositive Power   1,746,424
(10) Shared Dispositive Power                 0

         11)     Aggregate Amount Beneficially Owned by Each Reporting Person     1,746,424 

         12)     Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions)       

         13)     Percent of Class Represented by Amount in Row (11)           6.5%       

         14)     Type of Reporting Person (See Instructions)      IN    




 

Item 1. Security and Issuer.
          Common Stock, no par value (the "Common Stock"), of Weis Markets, Inc. (the "Company"), 1000 South Second Street, P.O. Box 471, Sunbury, PA 17801-0471.

Item 2. Identity and Background.
              (a)     Name of Person Filing: Ellen W. P. Wasserman

              (b)     Residence or Business Address:  Weis Markets, Inc.
                                                                           c/o Robert F. Weis
                                                                          1000 South Second Street
                                                                          P.O. Box 417
                                                                          Sunbury, PA 17801-0471

Item 3. Source and Amount of Funds or Other Consideration.
          Ellen W. P. Wasserman, the undersigned, has been a beneficial owner, as defined in Rule 13d-3, of more than 5% of the Common Stock of the Company since it went public in 1965.  Ellen W.P. Wasserman and Robert F. Weis, her brother, control 53.1% of the voting power and continue to constitute a group within the meaning of Section 13(d)(3) of the Act.

Item 5. Interest in Securities of the Issuer.
         The information in Items (6) through (11) and (13) of the cover page is incorporated herein by reference. On November 2, 2004, Ellen W. P. Wasserman, the undersigned, exchanged 1,358,000 shares of the Common Stock of the Company for a 97% interest in EKTJ Management LLC. The undersigned has no voting or dispositive power over the shares held by EKTJ Management LLC. Except for this reported transaction, there have been no other transactions in Common Stock of the Company effected by the undersigned since at least 60 days prior to that date.

Item 6. Contracts, Arrangements, Understandings or Relationships with respect to Securities of the Issuer.
          See Item 3 and 5 above.

SIGNATURE

         After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.





         /s/ Ellen W. P. Wasserman                             
Ellen W. P. Wasserman                             

 

Date: November 4, 2004

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